国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
24期
3760-3763
,共4页
青年%高血压%生活方式%肥胖
青年%高血壓%生活方式%肥胖
청년%고혈압%생활방식%비반
Youth%Hypertension%Life style%Obesity
目的 了解青年高血压的危险因素,为青年高血压的预防提供依据.方法 选择2009年1月至2010年12月头晕、头痛、乏力等症状初次就诊的18 ～40岁青年患者,参照2009年基层版《中国高血压防治指南》诊断为高血压并排除继发性高血压、半年内合并心脑肾疾病以及血糖控制欠佳的糖尿病病人.共入选青年高血压患者88例,其中男56例,女32例.随机选取本院同期健康查体的非高血压的18 ～ 40岁者88例,男56例,女32例.比较两组的家族史、生活方式、精神因素等.结果 高血压家族史(OR 10.47,95％ CI 4.53～24.20)、高尿酸血症(OR 8.81,95％ CI2.92 ～ 26.53)、肥胖(OR 3.80,95％ CI 1.80～8.01)、高盐饮食习惯(OR 3.76,95％ CI 1.42～9.95)、缺乏运动(OR 3.60,95％ CI 1.90 ～ 6.82)、高胆固醇血症(OR 3.21,95％ CI 1.59 ～ 6.48)、工作压力大(OR3.02,95％ CI 1.60 ～ 5.81)、吸烟(OR 2.14,95％CI 1.11～4.13)是青年高血压的危险因素(P＜0.05).结论 青年高血压的发生与生活方式和精神因素有关,改变生活方式、缓解心理压力将有助于预防青年高血压的发生.
目的 瞭解青年高血壓的危險因素,為青年高血壓的預防提供依據.方法 選擇2009年1月至2010年12月頭暈、頭痛、乏力等癥狀初次就診的18 ～40歲青年患者,參照2009年基層版《中國高血壓防治指南》診斷為高血壓併排除繼髮性高血壓、半年內閤併心腦腎疾病以及血糖控製欠佳的糖尿病病人.共入選青年高血壓患者88例,其中男56例,女32例.隨機選取本院同期健康查體的非高血壓的18 ～ 40歲者88例,男56例,女32例.比較兩組的傢族史、生活方式、精神因素等.結果 高血壓傢族史(OR 10.47,95％ CI 4.53～24.20)、高尿痠血癥(OR 8.81,95％ CI2.92 ～ 26.53)、肥胖(OR 3.80,95％ CI 1.80～8.01)、高鹽飲食習慣(OR 3.76,95％ CI 1.42～9.95)、缺乏運動(OR 3.60,95％ CI 1.90 ～ 6.82)、高膽固醇血癥(OR 3.21,95％ CI 1.59 ～ 6.48)、工作壓力大(OR3.02,95％ CI 1.60 ～ 5.81)、吸煙(OR 2.14,95％CI 1.11～4.13)是青年高血壓的危險因素(P＜0.05).結論 青年高血壓的髮生與生活方式和精神因素有關,改變生活方式、緩解心理壓力將有助于預防青年高血壓的髮生.
목적 료해청년고혈압적위험인소,위청년고혈압적예방제공의거.방법 선택2009년1월지2010년12월두훈、두통、핍력등증상초차취진적18 ～40세청년환자,삼조2009년기층판《중국고혈압방치지남》진단위고혈압병배제계발성고혈압、반년내합병심뇌신질병이급혈당공제흠가적당뇨병병인.공입선청년고혈압환자88례,기중남56례,녀32례.수궤선취본원동기건강사체적비고혈압적18 ～ 40세자88례,남56례,녀32례.비교량조적가족사、생활방식、정신인소등.결과 고혈압가족사(OR 10.47,95％ CI 4.53～24.20)、고뇨산혈증(OR 8.81,95％ CI2.92 ～ 26.53)、비반(OR 3.80,95％ CI 1.80～8.01)、고염음식습관(OR 3.76,95％ CI 1.42～9.95)、결핍운동(OR 3.60,95％ CI 1.90 ～ 6.82)、고담고순혈증(OR 3.21,95％ CI 1.59 ～ 6.48)、공작압력대(OR3.02,95％ CI 1.60 ～ 5.81)、흡연(OR 2.14,95％CI 1.11～4.13)시청년고혈압적위험인소(P＜0.05).결론 청년고혈압적발생여생활방식화정신인소유관,개변생활방식、완해심리압력장유조우예방청년고혈압적발생.
Objective To analyze the risk factors of youth hypertension and to provide evidence for prevention of youth hypertension.Methods According to Guideline for Prevention and Treatment of Hypertension of China (basic version of 2009),88 patients were diagnosed as hypertension from those aged from 18 to 40 and having symptoms of dizzy,headache and fatigue to visit doctor for the first time from Jan.2009 to Dee.2010.They were enrolled as study group.88 health adults who undertook medical check-up during the same time were randomly selected as control group.The family history,life style,psychology factors were compared between the two groups.Results The risk factors of youth hypertension were hypertension family history (OR 10.47,95％CI 4.53-24.20),hyperuricemia (OR 8.81,95％ CI 2.92-26.53),obesity (OR 3.80,95％ CI 1.80-8.01),high salt diet (OR 3.76,95％ CI 1.42-9.95),lack of exercise (OR 3.60,95％ CI 1.90-6.82),hypercholesteremia (OR 3.21,95％ CI 1.59-6.48),high work pressure (OR 3.02,95％ CI 1.60-5.81),smoking (OR 2.14,95％ CI 1.11-4.13) (P ＜ 0.05).Conclusion Youth hypertension was related with life style and psychology factors.Changing life style and releasing mental stress could be benefit to prevent youth hypertension.
